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How to Bill Evaluation and Management Codes
Q: I am in need for guidance on how to bill evaluation and management (E&M) codes in addition to acupuncture the same date of service, I have never been paid for an exam when done with acupuncture and I believe I am doing it wrong.
The Effectiveness of Chinese Medicine in Treating Infertility in the Philippines
Infertility is defined as the inability to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse.
Who is Your Ideal Patient?
Being in a healthcare practice requires you to think critically about many things including your equipment, techniques, documentation, financial goals, and the retention of clients and staff.
Treatment of Type 1 Diabetes Mellitus: The Latest Breakthroughs
There are now more than 29 million diabetics in the U.S. and 10% of them have Type 1. The incidence has been increasing in recent years at an epidemic rate.
What Should You Call Your Patients (and What Should They Call You)?
When I walked into the exam room, the new patient looked uneasy, fumbling with his cellphone. He was a huge Polynesian man, probably in his 40s, with unrecognizable island tattoos.
Introducing the Dynamic Chiropractic Digital Edition
In response to the changing habits of our readers, Dynamic Chiropractic is proud to introduce a digital edition of the publication beginning with the July 2016 issue.
Herbal Medicine Continues to Evolve
Product manufacturers, industry partners, distributors and practitioners work as a collective Traditional Chinese Herbal Medicine (TCHM) community to produce high quality TCHM prescriptions that bring low-risk healthcare to thousands of patients everyday.
F4CP Campaign Addresses Public Misperceptions of Chiropractic
In late 2015, results of the Gallup-Palmer College of Chiropractic Inaugural Report: Americans' Perceptions of Chiropractic were published. The report found that 33.6 million U.S. adults (14 percent) had utilized chiropractic care within the previous 12 months.
Diet, Nutrition and the Context of Risk (Part 2): Food Poisoning
Other than the morbidity and mortality linked to eating too much food, "all-natural" organisms that contaminate our food cause more illness, more hospitalizations and more death than food contaminated by heavy metals, plastics, preservatives, artificial colors, emulsifiers, artificial sweeteners and pesticides combined.
Does Anyone Know You're a Good Chiropractor?
If you had a chance to read the recent article in Time magazine (April 6), you know it provided some good information about the efficacy of chiropractic to the magazine's substantial consumer audience.
Time for World-Wide Growth
Acupuncture is the organically growing around the world. The legislative body in Quatar has said acupuncture is "okay." The United States has five states to go to have every state recognized and regulated.
Shoulder Rehab: The Gait Connection
Shoulder problems can be difficult to rehab completely for several reasons. The shoulder is made up of several joints that must function together smoothly to provide the extreme mobility that is possible and necessary for many activities.
Five-Element Reaches Out to Serve the Community
In 2006, a student at the Institute of Taoist Education and Acupuncture (ITEA) approached the administration about an idea for his senior project.
Immunotherapy: Where Molecular Medicine Crosses Into Holistic Thinking
Immunotherapy, and its promise as a cancer treatment, has been in the news a lot in the last few years, and for good reason. Real shifts are happening in oncology and exciting researchers, clinicians, and patients.
Chiropractic Needs a Lesson in Education
The American Chiropractic Association has launched a campaign, The National Medicare Equality Petition, to enact federal legislation that would achieve full physician status for DCs in Medicare.
Bring on the Bitters
Out of all the possible flavor choices with foods, such as sweet, sour, salty, and umami (deliciousness), which would you choose first? Bitter, though not as enjoyable, is also a flavor.
Acupuncture at a Pain Clinic
Introduction: Pain is the most comprehensive human experience. The experience of pain is associated with the somatic, emotional and social impact. Pain has not only somatic symptoms, but also psycho-social dimension, especially in case of chronic pain.
The Eight Extraordinary Confluent Points
The eight extraordinary confluent points are a very popular set of acupuncture points in the modern practice of acupuncture. They are also called the intersection, meeting, command, opening, master, and the flowing and pooling points of the eight extraordinary vessels.
Case Studies and Answer Analysis for NCCAOM Exam in Foundation of Oriental Medicine
Case studies are very common for acupuncture school students, either in class exams or during taking the national board exam. Most test takers feel they have no idea where they should start and how they should start to analyze those complicated cases.
2016 Trudy McAlister Foundation AOM Scholars
This year, the Trudy McAlister Foundation (TMF) received a record number of excellent applications for the 2016 scholarship awards and has awarded five scholarships for $2000 each. More information is available on our website: AOMScholarship.org
The Liver: The Official of Planning
The Liver, with its paired Official, the Gall Bladder, belongs to the Element Wood within us. Wood grants us the power of birth – new beginnings, growth, breaking through boundaries and surging forward. It is the vigorous, exuberant energy of the spring season.
We Get Letters & Email
Another Slap in the Face for DCs; I Know Where to Find the Missing Chiropractic Patients; Clarification on Vitamin D Study.
Are Herbs Useful for Chronic Pain?
The human nervous system is what makes us special, but our greatest strength also makes us vulnerable: witness the growing incidence of chronic addictions, anxiety, depression, sleep disorders and chronic pain syndromes.
The Good, the Bad and the Successful in Social Marketing
You might be thinking, "social marketing, don't you mean social media?" No, I mean social marketing. Every day, I keep reading, hearing and learning more and more about the changes happening in social media.
April, 2012, Vol. 12, Issue 04
On Straight Footing: CranioSacral Therapy Makes a Difference
By John Matthew Upledger
When the body receives the release it needs to begin healing, change can occur rather quickly—and unexpectedly. Just ask Sharon Aldrich. A licensed massage therapist, Sharon was enrolled in her first CranioSacral Therapy class.On the third day she was watching a demonstration of a 10-step protocol technique when she looked down and noticed something that amazed her. Her feet were facing straight. Since childhood, she had lived with an in-toe gait, or pigeon toes as it is commonly referred to. Looking back at that moment, Sharon said, "I noticed that I seemed to be standing in a posture that felt strange but not at all uncomfortable. I took my focus away from the demo and looked down at my feet. For the first time in my life, I was not pigeon-toed. My feet were out and it felt good all way up my legs, into my hips and low back. I then noticed that my ASIS and PSIS were level. No more anterior rotation." The CST techniques that Sharon received during practice sessions in the first two days of class had initiated a healing process that didn't stop with her feet.
A Life of Hard Knocks
No surprise, growing up with a condition such as pigeon toes presents a host of emotional and physical challenges. Sharon's right leg was so turned in at the knee that the ankle bone was actually facing forward. Growing up, she said, "There were many times when I would be so exceptionally tired I might step on my left big toe with my right foot. I remember having to sleep at night with shoes on and a corrective bar between them." The constant reminder from her mother to, "turn your feet out" still reverberates in her memory.
To her credit, Sharon didn't allow her condition to rule her life. "I was always very active as a child," she said, naming sports, cheerleading, gymnastics, horseback riding and general roughhousing as common activities. This active lifestyle came at a cost, however. Sharon endured a number of mishaps over the years that included a fractured tailbone from a fall on the balance beam at the age of 15, a fall off a horse, and a waterskiing accident in 1997 that left scar tissue in the area around her C-3. As a result, she said, "I had chronic lower lumbar and sacrum pain, and my S.I. joints continually locked up."
About six years ago, as Sharon's body continued to lose its ability to compensate for her rotated leg and many injuries, she began to experience right hip pain. This manifested in the form of numerous severe trigger points across her right piriformis and upper gluteals. "I could not sit on a hard surface for a long time nor in a car," she said. "Sometimes my back would seize up, and I had difficulty getting out of the car." An X-ray ultimately showed that Sharon's femur was moderately internally rotated — a fact that surprised her. "I was told that my foot wasn't turned in at the ankle; it was turned in completely at the hip." The type and severity of her pain began to make sense.
Light Touch Promotes Deep Release
Pain had been a part of Sharon's life for so long that she had learned to compensate for it in her daily living. All of that changed with the gentle, precise touch of CST, which activated the release of long-held restrictions and encouraged her body to self-correct. With that initial correction, Sharon said, "I had some aching in my right quadrant area medial to lateral. It felt as if my thigh was trying to roll in and also reorganize. When we did a mini session on the last day of class, the aching stopped the next day."
In Sharon's case, she believes her issues resided in a restriction within her pelvic girdle. This was released as she received the various techniques of the CST protocol during class. Mariann Sisco, PT, CST-D, who was Sharon's CST instructor, explained the connection. "The pelvic diaphragm of fascia lies within the pelvic girdle and is oriented transversely. It connects to other transverse planes of fascia—notably the respiratory diaphragm and the hips in Sharon's case." Touching on these transverse planes with CST proved to be a key in Sharon's healing process. "Most therapists focus on the longitudinal planes, while these transverse planes are often the missing link in clients who are not quite coming along," Mariann said. Being both student and patient was an especially educational experience for Sharon. As the body begins correcting, she said, "You don't see anything happening from the outside, which is so fascinating. As a practitioner, though, you can feel all of this. It's amazing."
A Continued Path of Healing
Within three months of her CST class experience, Sharon reported a 90-percent reduction in her low back, sacrum and right buttock pain. She said that her pelvic girdle is basically stable, as well. She attributes the remaining 10-percent of pain to being a hard worker and an active person. "I now only have to stretch my low back daily for normal age-related stiffness," Sharon says. "If I don't do that, I tighten up and experience some swelling lateral to C-3 and C-4 along with headaches."
To help with her residual pain, she says, "I have shown my [MT] colleague how to do the CST technique involving the decompression of C-1 and the occipital ridge. That helps so much with my headaches and my tightness." One of Sharon's biggest marvels continues to be the condition of her stance. "I have a pair of expensive tennis shoes that I always wore to work in," she says. "They have a stabilizer bar and are made to correct pronation and rolling in on the big toe. If I try to wear them now, my feet turn completely out! It has been a life-changing experience for me not to have back pain that very often dictated a good deal of my life. Also, for the first time in my life, I no longer hear 'Turn your feet out, sweetie' from my dear mother!"
John Matthew Upledger is the CEO of Upledger Institute International. For 25 years, he has been actively engaged in all aspects of the organization — from education to clinical services. For more information about CranioSacral Therapy and other modalities offered for study through Upledger Institute International go to www.iahe.com.
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